Maine Medicine Weekly Update - 10/16/2017  (Plain Text Version)

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In this issue:
•  Perinatal Quality Conference This Saturday
•  MMA Announces Support for ACA Medicaid Expansion Ballot Question 2
•  New Laws Effective Nov. 1, 2017
•  New CEO for PCHC
•  Failure to Vaccinate Likely Cause of Measles Outbreaks
•  Free Personalized Assistance to Help You Prepare for Quality Payment Program
•  Webinars on Improving Opioid Prescribing and Patient Safety
•  Brief Survey for Pediatric, Family Providers
•  CMS Releases PQRS and VM Reports
•  Legislative Calls to Resume When Legislature Returns
•  Legislature to Convene for Special Session October 23rd
•  Maine Concussion Management Initiative Training October 17th
•  University of New England Opioid Use Disorder and Medication Assisted Treatment Workshop October 28th
•  Improving Opioid Prescribing and Patient Safety: 3-hour presentation in Wells on November 1
•  9th Canadian Conference on Dementia - November 2-4, 2017
•  Turquoise & Tapas With the Lung Association November 9th
•  Online Learning Opportunities Offering CME Credits - from the Northern New England Practice Transformation Network
•  New Free CME on Alzheimer's Risk, Detection, and Management
•  Improving Opioid Prescribing and Patient Safety: October 25 & November 18 at EMMC
•  Chief Executive Officer
•  BE/BC Family Practitioner - Lewiston, ME
•  Primary Care Physician - Eastern Maine Medical Center
•  Chief Executive Officer
•  Relocate to Beautiful Southwestern Maine - Medical Director/Family Practice Physician
•  Outstanding full-time opportunity for an experienced Physician Assistant or Nurse Practitioner with Central Maine Heart Associates in Auburn, Maine
•  Palliative Care Provider
•  Gastroenterologist - Brunswick, ME
•  Hospitalist - Brunswick, ME
•  Family Medicine Physician - Winthrop, ME
•  DO or MD Physician - Augusta, ME
•  Outpatient Opportunities Loan Repayment, Sign-On & Relocation
•  Family Medicine Physician - Pittsfield, ME
•  Outpatient Only - Internal Medicine with Loan Repayment & Sign-on Bonus
•  Family Medicine Physician/Clinician Leader
•  Opportunities at the VA for Volunteer Physicians


Failure to Vaccinate Likely Cause of Measles Outbreaks

A research letter from researchers at the U.S. CDC, published in the Journal of the American Medical Association, reports a likelihood that measles outbreaks in the US are causally related to a failure of parents to have their children vaccinated against the disease.


Measles was eliminated in the U.S. in 2000, with cases since then originating outside the country and being brought into the U.S. by travelers. Since that time, localized outbreaks have occurred. Of the 1789 cases occurring between January 1, 2001 and December 31, 2015 70% (1243) of the individuals infected were not vaccinated, with babies and toddlers having the least protection. Of the 13 outbreaks affecting more than 20 persons in that time period, 10 occurred between 2010 and 2015. During that same time, the number of cases originating outside the U.S. fell from 47 percent of all cases in 2001 to 15 percent in 2015.

MMR vaccination rates among Maine first graders are approximately 96%, while the rate of claimed exemptions is 4.1%. Several schools have first grade exemption rates of over 10%, with one school showing an 80% rate. Under Maine law exemptions may be claimed for medical, religious, or "philosophical" reasons.